NPIMap

Organization Active NPI

Pharmacare at Mt. Clare, LLC

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1922339902
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13939 Issued in MD
Legal business name
PHARMACARE AT MT. CLARE, LLC
Practice address
1100 W Pratt St
Baltimore, MD 21223-2678
Phone
(443) 512-5966
Fax
(443) 512-8887
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Reddy Annappareddy, RPH
Title
Manager
Phone
(443) 616-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 13939 MD Primary

Addresses

Primary practice location

1100 W Pratt St
Baltimore, MD 21223-2678

Mailing address

1100 W Pratt St
Baltimore, MD 21223-2678
Phone (443) 512-5966

National Provider Directory

National Provider Directory
Tax ID family
Pharmacare at Mt Claire LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1922339902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232678",
            "telephone_number": "443-512-5966",
            "fax_number": "443-512-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232678",
            "telephone_number": "443-512-5966",
            "fax_number": "443-512-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACARE AT MT. CLARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "ANNAPPAREDDY",
        "authorized_official_first_name": "REDDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-616-6500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "13939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.